You are*:           Seaman                Engineer                  Capitain/skipper

                           Cook                     Hostess/Stewart

 Name, first name*:    

 Adress:

Phone*:                           Mobile:        

 Email adress*:     

 How did you hear about us: By word of mouth Nautic Meeting Specialzed Press Seach motor Other   Other please specify:

 Your certifications STCW 95* :

 Your last medical visit* :

 Your wiches and ambitions:

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                                                                                                           *champs obligatoires